On October 30, 2018 a
Exhibit,Appendix
was filed
involving a dispute between
Abimael Trujillo Cruz,
and
11 Hoyt Property Owner, L.P.,
Triton Construction Company, Llc,
for Torts - Other (Premises - Labor Law)
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 09/02/2022 10:03 AM INDEX NO. 521854/2018
NYSCEF DOC. NO. 78 RECEIVED NYSCEF: 09/02/2022
Jennifer Guobis
77 Water Street, Suite 2100
New York, New York 10005
Jennifer.Guobis@lewisbrisbois.com
Direct: 212.232.1348
August 10, 2022 File No. 50012.5711
Via E-mail: AD@liakaslaw.com
Anthony Deliso
LIAKAS LAW, P.C.
65 Broadway, 13th Floor
New York, New York 10006
Re: Abimael Trujillo Cruz v. 11 Hoyt Property Owner, L.P, et al.
Index No. : 521854/2018
Date of Loss : July 11, 2018
Dear Mr. Deliso:
As you are aware, we represent the defendants in the above referenced action. This will
serve as our good faith effort to resolve the below discovery issue.
We are in receipt of the authorization for your client’s Ambulance Call Report from The
New York City Fire Department (“FDNY”) and thank you for same. However, the FDNY requires
that an Ambulance Call Report Request Form be submitted along with the authorization. Enclosed
herewith is a blank copy of the required form for your convenience. Please return the completed
form to our office within ten (10) days of this letter so that we may timely obtain plaintiff’s records.
Thank you for your anticipated prompt attention to this matter. Should you have any questions,
please do not hesitate to contact the undersigned.
Very truly yours,
/s/ Jennifer Guobis
Jennifer Guobis
Paralegal
LEWIS BRISBOIS BISGAARD & SMITH LLP
JG/Enc.
ARIZONA • CALIFORNIA • COLORADO • CONNECTICUT • FLORIDA • GEORGIA • ILLINOIS • INDIANA • KANSAS • KENTUCKY
LOUISIANA • MARYLAND • MASSACHUSETTS • MISSOURI • NEVADA • NEW JERSEY • NEW MEXICO • NEW YORK
NORTH CAROLINA • OHIO • OREGON • PENNSYLVANIA • RHODE ISLAND • TEXAS • WASHINGTON • WEST VIRGINIA
4857-9942-5325.1
FILED: KINGS COUNTY CLERK 09/02/2022 10:03 AM INDEX NO. 521854/2018
NYSCEF DOC. NO. 78 RECEIVED NYSCEF: 09/02/2022
FIRE DEPARTMENT – CITY OF NEW YORK
Public Records Unit / ACR Section
9 MetroTech Center
Brooklyn, New York 11201-3857
(718) 999-1998 or 1999
Ambulance Call Report/
Prehospital Care Report
Request Form
SECTION A CUSTOMER INFORMATION
Please print the required information below.
___________________________________________________ __________________________
Name Telephone Number
___________________________________________________
Address
___________________________________________________
State Zip Code
Note: Please make sure you complete this form and attach all required documents.
Enclose a check or money order made payable to
the NYC Fire Department and a stamped self-addressed envelope (with postage). Mail checks or money orders directly to the
address and unit listed above.
Only money orders or checks will be accepted for Requests (no exceptions).
DO NOT MAIL CASH.
SECTION B PATIENT INFORMATION
Please carefully read the instructions below and print the required patient’s information.
Name of Patient: ________________________________________________________________
Incident / Date: ____/____/____
Incident / Time: ______: ______ AM PM
Incident / Location: ________________________________________________________________
Incident / Borough: ________________________________________________________________
Hospital taken to: ________________________________________________________________
Is the patient a minor (please check only one box)? YES NO
Date of Birth: _____/ ____/_____
Last 4 digits of Social Security Number: ________________________
If you have the ACR/PCR, please provide ACR/PCR number: _________________________
What is the requester’s relationship to the patient (please check only one box below)?
Self / Patient Parent / Guardian Executor / Administrator of Estate Other ______________________
CUSTOMER – PLEASE READ AND SUBMIT THE REQUIRED ITEM(S) BELOW
• An original notarized letter from the patient authorizing the release of this information.
• Proof of parental status or guardianship, if the patient is a minor. Acceptable proof is a copy of the patient’s birth
certificate or a court document showing custody / guardianship.
• Proof that a court has appointed you executor or administrator of the patient’s estate, if the patient is deceased
(Letters testamentary or letters of administration).
• Payment in the form of a check or money order in the amount of $2.25 for each report.
PR1 (July-08)
Preview
FILED: KINGS COUNTY CLERK 09/02/2022 10:03 AM INDEX NO. 521854/2018 NYSCEF DOC. NO. 78 RECEIVED NYSCEF: 09/02/2022 Jennifer Guobis 77 Water Street, Suite 2100 New York, New York 10005 Jennifer.Guobis@lewisbrisbois.com Direct: 212.232.1348 August 10, 2022 File No. 50012.5711 Via E-mail: AD@liakaslaw.com Anthony Deliso LIAKAS LAW, P.C. 65 Broadway, 13th Floor New York, New York 10006 Re: Abimael Trujillo Cruz v. 11 Hoyt Property Owner, L.P, et al. Index No. : 521854/2018 Date of Loss : July 11, 2018 Dear Mr. Deliso: As you are aware, we represent the defendants in the above referenced action. This will serve as our good faith effort to resolve the below discovery issue. We are in receipt of the authorization for your client’s Ambulance Call Report from The New York City Fire Department (“FDNY”) and thank you for same. However, the FDNY requires that an Ambulance Call Report Request Form be submitted along with the authorization. Enclosed herewith is a blank copy of the required form for your convenience. Please return the completed form to our office within ten (10) days of this letter so that we may timely obtain plaintiff’s records. Thank you for your anticipated prompt attention to this matter. Should you have any questions, please do not hesitate to contact the undersigned. Very truly yours, /s/ Jennifer Guobis Jennifer Guobis Paralegal LEWIS BRISBOIS BISGAARD & SMITH LLP JG/Enc. ARIZONA • CALIFORNIA • COLORADO • CONNECTICUT • FLORIDA • GEORGIA • ILLINOIS • INDIANA • KANSAS • KENTUCKY LOUISIANA • MARYLAND • MASSACHUSETTS • MISSOURI • NEVADA • NEW JERSEY • NEW MEXICO • NEW YORK NORTH CAROLINA • OHIO • OREGON • PENNSYLVANIA • RHODE ISLAND • TEXAS • WASHINGTON • WEST VIRGINIA 4857-9942-5325.1 FILED: KINGS COUNTY CLERK 09/02/2022 10:03 AM INDEX NO. 521854/2018 NYSCEF DOC. NO. 78 RECEIVED NYSCEF: 09/02/2022 FIRE DEPARTMENT – CITY OF NEW YORK Public Records Unit / ACR Section 9 MetroTech Center Brooklyn, New York 11201-3857 (718) 999-1998 or 1999 Ambulance Call Report/ Prehospital Care Report Request Form SECTION A CUSTOMER INFORMATION Please print the required information below. ___________________________________________________ __________________________ Name Telephone Number ___________________________________________________ Address ___________________________________________________ State Zip Code Note: Please make sure you complete this form and attach all required documents. Enclose a check or money order made payable to the NYC Fire Department and a stamped self-addressed envelope (with postage). Mail checks or money orders directly to the address and unit listed above. Only money orders or checks will be accepted for Requests (no exceptions). DO NOT MAIL CASH. SECTION B PATIENT INFORMATION Please carefully read the instructions below and print the required patient’s information. Name of Patient: ________________________________________________________________ Incident / Date: ____/____/____ Incident / Time: ______: ______ AM PM Incident / Location: ________________________________________________________________ Incident / Borough: ________________________________________________________________ Hospital taken to: ________________________________________________________________ Is the patient a minor (please check only one box)? YES NO Date of Birth: _____/ ____/_____ Last 4 digits of Social Security Number: ________________________ If you have the ACR/PCR, please provide ACR/PCR number: _________________________ What is the requester’s relationship to the patient (please check only one box below)? Self / Patient Parent / Guardian Executor / Administrator of Estate Other ______________________ CUSTOMER – PLEASE READ AND SUBMIT THE REQUIRED ITEM(S) BELOW • An original notarized letter from the patient authorizing the release of this information. • Proof of parental status or guardianship, if the patient is a minor. Acceptable proof is a copy of the patient’s birth certificate or a court document showing custody / guardianship. • Proof that a court has appointed you executor or administrator of the patient’s estate, if the patient is deceased (Letters testamentary or letters of administration). • Payment in the form of a check or money order in the amount of $2.25 for each report. PR1 (July-08)